Monday, April 24, 2006

Failed nail gun suicide causes headache

Consider the following grisly scenario. You are suicidal, high on methamphetamine, and in possession of a fully stocked nail gun (each nail around 2 inches in length). How many nails would you fire deep into both sides of your head before giving up and sleeping on it instead?

If you were the man that turned up at an Oregon hospital the next day, complaining of a headache, then the answer would be a full dozen. But the man omitted to mention his failed, though determined, suicide bid, and it was only discovered when doctors took an X-ray of the man's skull and saw the evidence that he eventually came clean.

The nails struck close to major blood vessels – and, really, how could they not? – but did not pierce them. Surgeons carefully removed the offending items with surgical pliers and a drill, leaving the man with no long-term negative effects from his injuries.

However, while surviving firing twelve foreign objects into his own brain probably makes him a record breaker, he is unlikely ever to reach the dizzy heights of fame attained by Phinneus Gage. In 1848, the 25-year-old rail worker accidentally blasted a 1.5-inch-wide iron bar through his own head, entering under his left cheek and departing through the top of his skull. The story has it that the accident suddenly transformed him from a well-liked, shrewd individual, into an impulsive, belligerent man who "indulged in the grossest profanity".

But malignant changes within the brain itself can also transform its owner's personality. In 2002, it was reported that the sudden and uncontrollable paedophilia exhibited by a previously normal 40-year-old man was caused by an egg-sized brain tumour. Once it was removed, his sex-obsession disappeared.

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